Dental
Memorial Drive Dental Associates PC
Memorial Drive Dental Associates PC was paid $460K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoMEMORIAL DRIVE DENTAL ASSOCIATES PC
CHICOPEE, MA 01020
CHICOPEE, MA 01020
33aNPI1811083355assigned 10/04/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$460K
24GClaims12,150
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in Massachusetts
Rank by total paid#183 of 693
Median peer was paid$87K
This provider vs. median5.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,006 | $77K | |
| 2019 | 1,927 | $68K | |
| 2020 | 1,086 | $35K | |
| 2021 | 1,612 | $66K | |
| 2022 | 2,024 | $80K | |
| 2023 | 2,067 | $88K | |
| 2024incomplete | 1,428 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 3,567 | 3,521 | $185K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,576 | 3,535 | $80K |
| D0274 | Bitewings - four radiographic images | 11% | 1,446 | 1,419 | $49K |
| D0210 | Intraoral - complete series of radiographic images | 4.7% | 308 | 305 | $22K |
| D1206 | Topical application of fluoride varnish | 4.7% | 898 | 890 | $22K |
| D2740 | Crown - porcelain/ceramic | 4.6% | 31 | 28 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.1% | 352 | 202 | $19K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.9% | 427 | 420 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.8% | 387 | 383 | $18K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.2% | 145 | 114 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 2.0% | 652 | 635 | $9K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 238 | 201 | $3K |
4 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialRUSIECKI, TIMOTHY (PRESIDENT)